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Permit Support Document CITY OF TIGARD1114 PLUMBING PERMIT h' COMMUNITY DEVELOPMENT Permit#: PLM2021-00070 3125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ( �l Date Issued: 2/18/2021 IffTIGARD nfen Parcel: 2S110BD00901 Jurisdiction: Tigard Site address: 12035 SW BULL MOUNTAIN RD Project: Whitney Subdivision: None Lot: None Project Description: 2 Level full house repipe. 3/1/21: REPRINTED permit to include(1)water heater. Contractor: CRAIG ANDERSON PLUMBING INC Owner: WHITNEY, PAUL& DIANE F FAMILY TRUST 2730 SE 15TH AVE 12035 SW BULL MOUNTAIN RD PORTLAND, OR 97202 TIGARD, OR 97224 PHONE: 503-232-1060 PHONE: FAX: 503-232-5263 FEES Quantity Description Date Amount 1 ea Water Piping/DWV 02/18/2021 $56.29 Specifics: 1 ea Water Heater 03/02/2021 $37.52 1 12%State Surcharge- 03/02/2021 $11.26 Type of Use: SF Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $105.07 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. Plumbing Permit Apnlication '-PL./1) 202/ -000 70 g- 23 2! Building Fixtures P/tea `/ City of Tigard 7v � "ed Permit No: IN i■ 13125 SW Hall Blvd.,Tigard,OR 97223 LL PlanDate : (�� L 7I2 8 Phone: 503.718.2439 Fax: 503.598.1960 �ly�Ulh� Date/By: Review y Other Permit No.: I \i i I Inspection Line: 503.639.4175 pe/M i 7 Date Ready/By: lu'• ®See Page 2 for Internet: www.tigard-or.gov Notified/Method: Sr Bata'Information 14" 4'''Al%' • a,7. <? - F t ' rY'"R.�" ''trv�yrs.'.# =-. _,.�as"7&..4ulx_ '-r-a.�x. , . x �,,.., i��:�•$'a 'Q4..,� �e � ❑New construction 0 Demolition r 1 '", I� For spedof information use chvrkI s E� Description I qty. I Ea. I Total L�nddition/alteratton/replacement ❑Other New 1-2-family dwellings(includes 100 ft.for each utility connection) a„�,�.;. „t, .: T r�a,.N.��yy£�ftr` SFR(1)bath 312.70 4r .. G:`..� i?TE " 1. L��Y)i""` 5� 121.and 2-family dwelling 0 Commercial/industrialSFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 Each additional badvkitchen 25.02 ❑Master builder ❑Other: Firenkler( ft.) Page 2 .•a, a ' & rn sq.' Site utilities: Job site address: /9035",5 ,) 8Q// 0OUgTq/� Catch basin or area drain 18.76 City/State/ZIP: ��q 97,0221 / � n �t y Drywell,leach line,or trench drain 18.76 ,0 oe Footing drain(no.linear 11.: ) Page 2 Suite/bldg./apt.no.: I Project name: h'4/1/fie y Manufactured home utilities 50.03 Cross street/directions to job site: /J Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_J Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: a5 f/ 6/3 a 00 re, Backflow preventer 31.27 rr a »•8•"' " +` air Backwater valve 12.5I „ k' Clothes washer 25.02 Aid / Dishwasher 25.02 AdJ 4 Iverk7` ?/ ' / $i'yj / //4i7"IjJ4 Drinking fountain 25.02 7/22 6urrro eerm, '- 4'AP41l e,O2/-dDD,zI� Ejectors/sump 25.02 r �`: . ,��4`•rt�., „'`�-�"isP,«2 �!- x Expansion tank 12.51 Name: Pay/ a a D/an i 4//7/ t/j/ey Fixture/sewer cap 25.02 Address: /2033 Ski Bk// Illpun-1 ;; /�✓ Floor drain/floor sink/hub 25.02 City/State/Z1P: �/ Garbage disposal 25.02 �'qGJ✓O/ c', 97,21/ Hose bib 25.02 Phone:( ) vU Fax:( ) Ice maker 12.51 a'" {q ;, r"4ne .b :ate c* r/�s Interceptor/grease trap 25.02 Business name: 6 4%G AatiSet7 tql( t h/hlg/ ,G Medical gas(value:$_) Page 2 Primer 12.51 Contact name: CYO,(y' /Ji76lto,,,_94 Roof drain(commercial) 12.51 Address: 2•;3D SE /5-471 /pjv� Sink/basin/lavatory 25.02 City/State/ZIP: PO,'fl/, 0I/� 9' A©2, Solar units(potable water) 62.54 Phone:(5 3 )P232- fO/iV Fax::( ) Tub/shower/shower pan 12.51 - . E-mail: GPgr l 'Cj 7/ u yes J7 d/✓J Urinal 25.02 f4, " > :..,,‘ mn-u'':'f'- e,-: Water closet 25.02 Business name: /e /^G+ hde�d� M�j J,,, Water heater 1-- 37.52 37,52-_ ,,//• "5 ! G Water piping/DWV 56.29 Address: '7.5C) 615/ /J fh Ave 00 Other: 25.02 City/State/ZIP: Der1-7nr/ ,C,/ 970702 _ Subtotal Phone:( 2 ) 32 / 2., Fax:( ) Minimum permit fee: $72.50 CCB Lic.: /6) 6/ /.:, Phunbfng'Lic.no.: �j-j�y�� Plan review (25%of permit fee) Authorized signature: I / State surcharge(12%of permit fee)et- .'J' v f" TOTAL PERMIT FEET �r 7 Print name: ✓//�� r t O, y C ?,,6 Ht lorecoij Date:,A/2 2/gi This permit application expires if a permit is not obtained within 180 days /� after it has been accepted in complete. *Fee methodology set by Tn-County Building industry Service Board. I:1Building\Pen hs\PLM1J-permitApp.doc 10/01/09 440-4616T(10/OZICOM/wEg